| NPI | 1972513828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN DAWN BROWN Reimbursement Ar Manager 803-788-5115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: SC NCF-914) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2010-07-13 |